| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,138 |
980 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,832 |
1,009 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
125 |
112 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
55 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
287 |
258 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$60.00 |
| 99174 |
|
26 |
25 |
$18.45 |
| 99173 |
|
120 |
106 |
$9.81 |
| 92551 |
|
27 |
27 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 90461 |
|
236 |
146 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
73 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
42 |
$0.00 |